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Home My WebLink About2011-00095 - gas line only CITY OF ORONO PERMIT NO.: 2011-00095 2750 KELLEY PARKWAY - ORONO, MN 55356- DATE ISSUEu: 02/10/2011 • 952 249-4600 FAX: 952 249-4616 ADDRESS : 125 CHEVY CHASE DR PIN : 36-118-23-41-0018 LEGAL DESC : HILL O'WAY MANOR : LOT 013 BLOCK 001 PERMIT TYPE : MECHANICAL(> $500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : GAS LINE ONLY VALUATION : $ 700.00 N01'G: GAS LINE GAS LOG-MAIN FLOOR APPLICANT MECHANICAL 50.00 AIR QUALITY SERVICES, INC. STATE SURCHARGE MECH (VALUATION) 5.00 6221 CAMBRIDGE STREET BOX A6 MISC FEE 0.00 ST LOUIS PARK, MN 55416- TOTAL 55.00 (952)9?5-3835 OWNER GRIFFIN, ROB & KIM 125 CHEVY CHASE DR WAYZATA, MN 55�91- AGREEMENT AND SWORN STATEMENT The work for which this pennit is issued shall be periormed accordinc to the approved plans and specitications.applicable City approvals,and the State f3uilding Code. 'I�his permit is lor only the work dcscribed and does not grant permission for additional or related work�vhich requires scparate permits. All provisions of Itnvs and ordinances governing this type uf work shail be compicd�cith�chcther or not specitied herein."I'his permit will espire and become null and void if construction authorized is not conunenced�vithin 180 days of lhe date of issuance,or if construction is suspendcd for a period of 180 days at any time aftcr�vork has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State L3uilding Code.This permit may be revokcd at any tii ic fpr�lue causa � � -, I : c,�� .,=6�,��%+'�'i�"� l l / / Applicant Permitee Signature Date Issuc By i nature D SEPARATE PERMITS REQUIRED FOR WORK OTHE THAN DESCRIBED ABOV � / FOR CITY USE ONLY �,�� City of Orono P.O.Box 66 Date Received: Permit# ��;s, � 2750 Kelley Parkway , `a ��i�;�;=`. � Crystal Bay,MN 55323 Approved By: Amoimt$: ��$�o Phone(952)249-4600 Fax(952)249-4616 CITY OF ORONO—MECHANICAL PERMIT (All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall) GENERAL INFORMATION L You may apply for mechanical pernuts by mail or in person at the City offices. Applications will be reviewed and a permit will be issued within two working days. 2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical Desi�ns—Complete calculati�ons, details and specifications are required for each heating, ventilation, humidification-dehumidification, and air conditioning installation including heat]oss/heat gain calculation, design temperatures, equipment ratings and identification as to type, manufacturer and model. Data shall be presented on form provided. 4. When any new construction or remodeling is involved, a separate building permit must be obtained. 5. All work must be done in accordance witb the Unifarm Mechanical Code/State Building Code requirements. 6. All work must be inspected(rough-in and final). Call(952)249-4600. (24-48 hour notice required) 7. House Heating Test Record must be submitted before final. TYPE OF PERMIT (Check All That Apply) :�Residential ❑ Commercial(Approval Required) ❑ New ❑ Additiona] f ' Repairs ❑ Replace Job Site / Owner Information: Site Address: �Z J L^�1,�(/�' �Gu��,lZ[ ,�/�, � Owner: r !� l� � G� Mailing Address: /C�S Cry��2Ud��/� City: �✓�fi �Z�� C�. Zip: I Home Phone: �J��-' ��5'�Z� �f Alternate Phone: Contractor Information: � �� Contractor: �(/� (�!` �. � ,�/}/,'C� Contact Person: �':� G��ic� Address: �vZ�� l�n�f,��L�/, �� State Bond #: J`5 �U C�,3 73 r< �-Z$- 2C�%1 City: S , u "' �� Zip:J�� Expiration Date: Phone: '�J`-Z'��5'�5 Alternate Phone: _�f Z' �� 'Z..�'S� � Insurance— Current: 1 � I ! MECHANICAL SYSTEMS BEING INSTALLED Note: All Geothernzal Systeins will now require a Site Plan &Review by our Building Official. � IS THIS GEOTHERMAL? ❑ Yes ❑ No HEATING SYSTEMS Quantity: Make: Model: Fuel: Flue Size: Input BTlis: Output BTUs: CFM: COOLING SYSTEMS Quantity: Make: Model: Tons: H.Power FIREPLACES ❑ Gas Factory Fireplace Brand Name: ❑ Wood Burning Fireplace ❑ Wood Stove Model No.: � ❑ Wood Stove with Flue/Masonry VENT�LATION ❑ No. Kitchen Exhaust duct recirculating cfm ❑ No. Bath E�aust(must have duct outside) cfm ❑ No. Other Fans: Locations cfm FUEL STORAGE (Must be approved b��Fire Marshall if proposing to abandon tank in place.) ❑ Installation ❑ Removal Fuel Oil: gallons ❑ Underground ❑ Inside ❑ Outside LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoor Grill � Other/List What&Where: �/�� (1� `��{�,� ��/�f`� z J , � ' PERMIT FEE CALCULATION(S) BASED OFF - 2002 STATE STATUE ❑ Yes,this section applies The replaceulent of a Residential fiature or appliance that meets all tlu-ee of the following requirements: 1. Does not require modification to electrical or gas service. 2. Has a total cost of$500.00 or less; excludin�the cost of the fixture or appliance: and 3. Is improved, installed or replaced by the homeowner or licensed conhactor. Skip next section, if this applies; Cost of Permit $ 15.00 State Surcharge $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ PERMIT FEE CALCLJLATION(S)—JOBS OVER$500.00 `� lf above does not apply; follow guidelines below: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) � C7�n x.0125 $ (convact price) (minimum$50.00) 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$5.00) x .0005 $ (contractprice) (minimum$5.00) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. T'OTAL PERMIT FEE(Add Lines 1-3 Above) $ ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar an7ount charged for the pernutted wark including materials, labor, profit, and other fixed costs. It is the amount to be charged to the customer far the work done. If any material, equipment, labor or installations are fumished by the owner, tenant or any other party, the reasonable market value of such items must be added to the estimated cost ar contract price for permit fee purposes. In the event that there is a dispute on the amount of the job cost, the City may request the submission of a signed copy of the actual contract. ■ ** The STATE SURCHARGE is .0005 times the Contract Price or a minimum of�5.00. MECHANICAL PERMIT APPLTCATION AGREEMENT The undersigned hereby applies to the City far issuance of a Mechanical Permit, a�nees to do all work in strict accardance with the ordinances of the City and the regulations of the State of Minnesota, and certifies that all statements made on this application are complete, true and correct. �� ,,/ � � <. 1 �I / Applicant's Signature: ��_ � ,'?l2. �� Date: �-� /v� � �'( ,��,; 3 Q`�� DAT TIME V CITY OF ORONO CALLED IN �� O INSPECTION�OTICE �q / SCHEDULED o�/�-/j !D��D PERMIT NO. D � /�(/DDg� COMPLETED ADDRESS �U� �7 ��C.P.I� C�-c4—Q� OWNER TELEPHONE NO�s Z 9Z� �8� �' CONTRACTOR � �Q uQ•`�� : DESCRIPTION �� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLA�NT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL � ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a o - � C J S �2 ,�� t r 'fi�=S`�-�'— a � 0 � W � Q � z W � W � � �y�WORKSATISFACTORY:PROCEED ❑ PROJECT COMPIETE W ❑COHRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Cail torthe next inspection 24 hours in advance. (952� 249-460� OwnerlContractor on site: Inspector. '� -� White Copyllnspector's File Canary CopylSite Notice